Individual provider Active NPI

Megan Flanagan Lee

  • Clinical Social Worker
  • River Edge, NJ
National Provider Identifier
1053911131
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05841600 Issued in NJ
Practice address
230 Kinderkamack Rd Unit 309
River Edge, NJ 07661-2187
Phone
(201) 925-4620
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086395 NY
Clinical Social Worker 1041C0700X 44SC05841600 NJ Primary

Addresses

Primary practice location

230 Kinderkamack Rd Unit 309
River Edge, NJ 07661-2187

Mailing address

230 Kinderkamack Rd Unit 309
River Edge, NJ 07661-2187
Phone (201) 925-4620

Other practice location 1

584 Route 17
Ridgewood, NJ 07450-2000
Phone (201) 556-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05841600NJMDClinical Social Worker
086395NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Transformation Health and Wellness LLC PastSince Mar 27, 2022 Accepting new patients
Elite Network Psychotherapy PastSince Mar 24, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1053911131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 KINDERKAMACK RD UNIT 309",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612187",
            "telephone_number": "201-925-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 KINDERKAMACK RD UNIT 309",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612187",
            "telephone_number": "201-925-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Route 17",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074502000",
            "country_code": "US",
            "telephone_number": "201-556-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MEGAN",
        "middle_name": "FLANAGAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086395",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05841600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.